The Effect of Web-Based Compassion-Focused Writing Program and Reflective Writing Program on Psychological Outcomes in Midwives Working in Delivery Rooms: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 90
- 主要终点
- Posttraumatic Growth Inventory-Short Form (PTGI-SF)
研究概览
简要总结
This randomized controlled trial aims to compare the effects of a web-based compassion-focused writing program and a reflective writing program on psychological well-being, self-compassion, postpartum trauma-related stress symptoms, and post-traumatic growth in midwives working in delivery rooms.
详细描述
This study is planned as a single-blind, parallel-group randomized controlled trial to evaluate the effects of two different writing-based interventions on psychological outcomes in midwives working in delivery rooms. During the childbirth process, midwives may occasionally witness traumatic events, which may lead to secondary traumatic stress, burnout, and various psychological difficulties. The literature indicates that expressive writing, reflective writing, and compassion-focused writing approaches contribute to individuals' ability to make sense of traumatic experiences, enhance emotional regulation skills, and support psychological well-being. Accordingly, this study aims to examine the effects of writing-based interventions that may support the psychological resilience of midwives. A total of 90 midwives who meet the inclusion criteria will be included in the study and randomly assigned to two groups using a computer-generated random number sequence. One group will receive a web-based compassion-focused writing program, while the other group will receive a web-based reflective writing program. Both programs will consist of five sessions conducted once per week via an online platform. Data will be collected using a Personal Information Form, Psychological Well-Being Scale, Self-Compassion Scale, City Birth Trauma Scale, and Post-Traumatic Growth Scale - Short Form. Measurements will be conducted before the intervention, immediately after the completion of the program, and during the follow-up period. Additionally, after each session, participants will complete a brief questionnaire to evaluate their writing experience. The collected data will be analyzed using appropriate statistical methods to compare the effects of both writing programs on psychological well-being, self-compassion, post-traumatic growth, and trauma-related stress symptoms.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Working as a midwife in a delivery room between November 1, 2025, and February 15, 2027
- •Native Turkish speaker
- •Aged between 18-65 years
- •Having at least a bachelor's degree in midwifery
- •Having at least three years of delivery room experience
- •No diagnosed psychological or psychiatric disorder
- •Having the technical infrastructure to use a web-based program
- •Ability to use a smartphone, tablet, or computer
- •Voluntary agreement to participate in the study
排除标准
- •Not working in a delivery room during the specified dates
- •Not a native Turkish speaker
- •Under 18 or over 65 years of age
- •Changing clinical unit during the study
- •Not completing all five intervention sessions
- •Working less than 40 hours per week in the delivery room due to leave or reassignment
- •Voluntary withdrawal from the study at any stage
研究组 & 干预措施
Compassion-Focused Writing Program
Participants assigned to this group will complete a five-week web-based compassion-focused writing program consisting of structured writing exercises aimed at enhancing self-compassion, increasing empathy, supporting emotional awareness, and strengthening coping skills related to challenging birth experiences. Sessions will be conducted once per week via an online platform.
干预措施: Compassion-Focused Writing Program (Behavioral)
Reflective Writing Program
Participants in this group will complete a five-week web-based reflective writing program consisting of structured writing exercises designed to encourage reflection on professional experiences, emotional responses, and thoughts related to delivery room practices. Sessions will be conducted once per week via an online platform.
干预措施: Reflective Writing Program (Behavioral)
结局指标
主要结局
Posttraumatic Growth Inventory-Short Form (PTGI-SF)
时间窗: Within 24 hours before the intervention and 6-8 weeks after the intervention
Participants' posttraumatic growth will be assessed using the Posttraumatic Growth Inventory-Short Form (PTGI-SF), developed by Platte et al. (2023). The scale consists of 10 items rated on a 6-point Likert scale, with total scores ranging from 0 to 50. Higher scores indicate greater positive psychological growth following a traumatic or highly stressful experience. The original version demonstrated good internal consistency, with a Cronbach's alpha coefficient of 0.88. The Turkish version also demonstrated good reliability, with a Cronbach's alpha coefficient of 0.81 (Türk et al., 2025).
Psychological Well-Being
时间窗: Within 24 hours before the intervention, within 24 hours after the intervention, and 6-8 weeks after the intervention
Participants' psychological well-being will be assessed using the Psychological Well-Being Scale developed by Diener et al. (2010) to measure socio-psychological well-being. The scale consists of 8 items rated on a 7-point Likert scale ranging from 1 ("Strongly disagree") to 7 ("Strongly agree"). Total scores range from 8 to 56, with higher scores indicating greater psychological well-being and stronger psychological resources. The Turkish version of the scale demonstrated good internal consistency, with a Cronbach's alpha coefficient of 0.80 (Telef, 2013).
Self-Compassion
时间窗: Within 24 hours before the intervention, within 24 hours after the intervention, and 6-8 weeks after the intervention
Participants' self-compassion will be assessed using the Self-Compassion Scale developed by Neff (2003). The scale measures individuals' levels of self-kindness, acceptance, and compassion toward themselves. The Turkish version consists of 24 items rated on a 5-point Likert scale. It includes six subscales: self-kindness, self-judgment, common humanity, isolation, mindfulness, and over-identification. Total scores range from 24 to 120, with higher scores indicating greater self-compassion. The Turkish version demonstrated good reliability, with a Cronbach's alpha coefficient of 0.89 and a test-retest reliability coefficient of 0.83 (Deniz, Kesici, \& Sümer, 2008).
Birth-Related Traumatic Stress Symptoms
时间窗: Within 24 hours before the intervention and 6-8 weeks after the intervention
Participants' birth-related traumatic stress symptoms will be assessed using the City Birth Trauma Scale - Maternal Health Professional Version, developed by McInnes et al. (2025). The scale is based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria for post-traumatic stress disorder and is designed to assess birth-related traumatic stress symptoms among maternal healthcare professionals providing care during the antenatal, intrapartum, and postpartum periods. Total PTSD symptom scores range from 0 (minimum) to 60 (maximum), with higher scores indicating more severe birth-related post-traumatic stress disorder symptoms.The scale consists of 29 items, with higher total scores indicating more severe birth-related post-traumatic stress disorder symptoms.
Posttraumatic Growth
时间窗: Within 24 hours before the intervention and 6-8 weeks after the intervention
Participants' posttraumatic growth will be assessed using the Posttraumatic Growth Inventory-Short Form, developed by Platte et al. (2023). The scale consists of 10 items rated on a 6-point Likert scale, with total scores ranging from 0 to 50. Higher scores indicate greater positive psychological growth following a traumatic or highly stressful experience. The original version demonstrated good internal consistency, with a Cronbach's alpha coefficient of 0.88. The Turkish version also demonstrated good reliability, with a Cronbach's alpha coefficient of 0.81 (Türk et al., 2025).
次要结局
未报告次要终点
研究者
Gozde Gokce Isbir
Professor
Mersin University